PrEP awareness, barriers and facilitators in Malaysia in the current landscape of new HIV infections: a review

This review examines PrEP awareness, barriers and facilitators in Malaysia amid ongoing new HIV infections. PrEP awareness ranged from 20% to 85%, while actual uptake was only 8% to 18.3%. Main barriers included cost, limited accessibility, poor PrEP knowledge, side-effect concerns, daily pill burden, and stigma and discrimination. Digital health interventions, pharmacy-led PrEP services, HIV testing integration, and interest in long-acting injectable formulations may help remove barriers facing key populations and promote PrEP adoption.